Korean J Gastrointest Endosc.  2008 Sep;37(3):231-235.

A Case of Acute Pancreatitis Caused by the Migration of a Feeding Gastrostomy Tube

• Kim SK
• Park CH
• Cho YC
• Hwang JE
• Jun WJ
• Kim HS
• Choi SK
• Rew JS

Abstract

A feeding gastrostomy tube is used to provide chronic nutritional support for patients who have a swallowing disability. Serious complications associated with feeding gastrostomy are rare. However, dislocation of the gastrostomy tube into the duodenum can lead to serious complications. There have been 7 reports in which the gastrostomy tube used for enteral feeding was associated with acute pancreatitis. But there have been no reports of pancreatitis associated with feeding gastrostomy in Korea. Further, all the reported cases were associated with both pancreatitis and cholangitis secondary to the compression of the major papilla by the percutaneous endoscopic gastrostomy tube. To the best our knowledge, this is the first report of acute pancreatitis, without cholangitis, that was induced by the compression of migrating surgical gastrostomy tube. Herein, we report on a case of a 68-year-old Korean male diagnosed with acute pancreatitis, and this was induced by the migration of a surgical gastrostomy tube.

Keyword

Gastrostomy; Gastrostomy tube; Pancreatitis

MeSH Terms

Aged
Cholangitis
Deglutition
Dislocations
Duodenum
Enteral Nutrition
Gastrostomy
Humans
Korea
Male
Nutritional Support
Pancreatitis